「シックハウス症候群」であると主張するアトピー性皮膚炎患者への精神医学的介入

Psychiatric Intervention for a Patient with Atopic Dermatitis, who Believed Himself to be Suffering from “Sick-house Syndrome”

抄録

　シックハウス症候群という疾患概念は本邦でも注目されているが，本症候群について精神医学的見地からみた検討はほとんどなされていない。今回我々は，「自分はシックハウス症候群なので，退院して帰宅できない」と主張するアトピー性皮膚炎患者を皮膚科からの併診で診療する機会を得たので，治療経過を報告した。本例では皮疹と精神状態に関連がみられており，皮膚科と精神科が連携して診療することが治療にとって有意義であった。本例の治療経過において，シックハウス症候群か否かの結論を保留とし，皮疹の状態に配慮して，支持的かつ洞察的にかかわることが精神医学的に重要であった。

　The disease entity of “Sick-house syndrome” has received a certain amount of attention in Japan, although little investigation has been made from a psychiatric viewpoint. Asked by dermatologists, for psychiatric intervention, we investigated a patient with atopic dermatitis, who claimed that he could not go home, because he suffered from “Sick-house syndrome”. As there was a close relationship between his dermal and mental states, the collaboration of dermatologists with psychiatrists was of great significance for his treatment. The important points in the psychiatric treatment we gave him were that we suspended the diagnosis of “Sick-house syndrome”, and attempted supportive and insight-oriented therapy according to his dermal state.